Individual
STACIE RULISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11415602
MI
Other
Enumeration date
02/03/2015
Last updated
05/23/2022
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